| NPI | 1497200489 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 9617) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 1979) | 
| Enumeration Date | 2016-08-18 | 
| Last Update Date | 2017-04-11 |